Ellen Andrew

NPI #1962723932 in Divide, Colorado

Provider Information

NPI Number: 1962723932
Entity Type: Individual
Name: Ellen Andrew
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 14, 2010
Last Updated: Jun 14, 2010

Practice Location

Address: 300 ELK CT
City: Divide
State: Colorado
ZIP Code: 80814-7776
Phone: (719) 686-1779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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